Since the inception of Enhanced Recovery After Surgery (ERAS) or Enhanced Recovery Pathways (ERPs) in the field of colorectal surgery two decades ago, ERAS has rapidly gained traction in many other fields of elective surgery, including hernia surgery. In addition to the benefit of standardized patient care, ERAS utilization has been associated with improved perioperative outcomes, acceleration of functional recovery, improved pain control, shorter length of stay (LOS) after elective surgery, and reduced costs. The main components of these pathways focus on mitigating the modifiable risk factors that impact metabolic, neuroendocrine, and inflammatory stress responses to an operation. In doing so, ERAS minimizes morbidity, which subsequently reduces costs. Specifically in the field of elective hernia surgery, ERAS optimizes a patient’s chance of undergoing successful hernia repair by mitigating non-technical factors to decrease postoperative infectious complications, improve wound healing, and, ultimately, decrease rates of hernia recurrence.